go back

Maine rates for HCPCS L6632

Upper extremity addition, latex suspension sleeve, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.63 / $56.45 / $56.45
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.53 / $96.56 / $179.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.77 / $49.77 / $62.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.73 / $48.73 / $61.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.57 / $48.73 / $48.73
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.87 / $67.87 / $67.87
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.21 / $56.45 / $56.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.97 / $39.97 / $39.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.88 / $41.81 / $96.18